Organization
MEDI EX PHARMACY, INC
Active
Other names
MEDI-EX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG TRAN PHARMACIST (PRESIDENT / PIC)
(714) 991-6828
Entity
Organization
Contact information
Practice address
1067 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2702
(714) 991-6828
(714) 991-6876
Mailing address
1067 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2702
(714) 991-6828
(714) 991-6876
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
55799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175757
PK
—
Enumeration date
02/07/2018
Last updated
01/16/2023
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